What changes for your patients?
A patient raises a medication concern during a refill conversation. The pharmacy connects the patient with HealthyConnect and stays involved through relevant updates.
A clear division of work
Keep the clinical relationship
Make the introduction; name the review owner; complete and document qualifying medication-related coordination.
Carry the ongoing operation
HealthyConnect handles enrollment, patient follow-through and updates through the agreed channel.
Make the review opportunity practical
See the pharmacist’s workflow beside modeled review economics. The detailed guidance explains the applicable pharmacy billing pathway.
Estimated $267 per modeled review hour. First-year illustration: $150 per patient at 1.5 qualifying tracks and 33.75 modeled review minutes. Includes qualifying onboarding revenue; onboarding and administrative time are additional. Actual payments vary. See the calculation and requirements ↗
The pharmacy review opportunity
CMS lists pharmacies with Specialty Code A5 as eligible for ACCESS co-management payments beginning October 1, 2026. Qualifying work includes reviewing the care update and completing a related coordination activity, with at least five minutes of practitioner time.